Angels Diagnostic Group Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ANGELS DIAGNOSTIC GROUP INC

Practice address

14394 Commerce Way
Miami Lakes, FL 33016-1501

Phone

(305) 593-8355

Fax

(305) 593-8369

NPI assigned

Feb 22, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alejandro Santos

Title

Owner

Phone

(305) 593-8355

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• ANGELS WELLNESS CENTER OF MIAMI LAKES Doing business as
• ANGELS DIAGNOSTIC GROUP, INC Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• HealthSun Health Plans Network

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yudit Diaz Carballo, FNP

  • Nurse Practitioner
  • Miami, FL
  • NPI 1538681127
  Medicare reassignment NPD
• Raul Andres Perez Falero, MD

  • Neurology Physician
  • Miami, FL
  • NPI 1295421428
  Medicare reassignment NPD
• Audrey De la Caridad Valladares, RN

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1902486665
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1700108412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14394 COMMERCE WAY",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161501",
            "telephone_number": "305-593-8355",
            "fax_number": "305-593-8369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14394 COMMERCE WAY",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161501",
            "telephone_number": "305-593-8355",
            "fax_number": "305-593-8369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS DIAGNOSTIC GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-593-8355"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE CLINIC STANDARD",
            "identifier": "HCC1215",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANGELS WELLNESS CENTER OF MIAMI LAKES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ANGELS DIAGNOSTIC GROUP, INC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "ANGELS DIAGNOSTIC GROUP, INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ashley Anderson
• Andy Medical Supply Inc
• Angel Ernesto Rico MD PA
• Angel R Casademont M D P a
• Angelito Mental Health Corp.
• Angels Health Care Inc
• Angels Medical Service Inc.
• Angels of Life Therapy Inc
• Angels Reach Foundation, Inc.
• Elizabeth Anguera

• Primary Care Clinic/Center in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.